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Cardiac Event Monitor Markets: Market Shares, Strategies, and Forecasts, 2017 to 2023


Report Details

Cardiac Event Monitor Markets: Market Shares, Strategies, and Forecasts, 2017 to 2023

SKU WGMAY131702
Category Medical Devices
Publisher Wintergreen Research
Pages 416
Published May-17
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Description

Growth is based on implementation of devices that measure cardiac function over a period of a month, provide analytics within the device, and send alerts to a physician.
Consideration of cardiac event recorder forecasts indicate that markets at $1.1 billion in 2016 will reach $4.8 billion by 2023. Growth comes as this technology is able to support the greater emphasis that is being put on early diagnosis and prevention of disease by the medical community as a whole. Heart disease has been the number one killer of people, creating a need for more proactive and ongoing diagnosis made possible by increased use of the remote units extending medical care from the acute care setting to everyday modalities.
Digitalization of healthcare is shifting value from devices per se to software and services. Physicians are looking for new ways to proactively monitor and manage patient health. The challenges of delivering patient cardiac care can only be met through new, more integrated forms of care delivery across the health continuum, with a shift away from a focus on acute care and late-stage interventions to continuing care delivery that is appropriate to the circumstance.
“In an increasingly connected world, the convergence of vital signs technologies with cardiac event monitoring technologies is able to facilitate healthy living. This fits very well with cardiac equipment vendor core strengths in professional healthcare and in consumer health and well-being.”
Disruptive technologies, disruptive services offerings change cardiac event recorder markets, clinicians are leveraging technology to save lives.
A cardiac event recorder is a battery-powered portable miniature device. Devices record heart's electrical activity (ECG) to detect presence of symptoms. Event recorders can be a loop memory monitor and a symptom event monitor with newer devices containing internal analytics and the ability to notify a physician directly if an event is detected. Cardiac event ambulatory monitors can detect arrhythmias and get people to treatment faster before it is too late. Units are useful in the fight to correct congestive heart failure even after it has been initiated.
Shortness of breath is a common symptom of cardiac disease. It is frequently misdiagnosed as a respiratory symptom or ignored by patients and is not even considered a symptom. Detection of heart disease is supported with the newer cardiac event recorders. Early treatment is essential and the technology is a vital aid in providing that treatment.
Other, newer technologies are emerging. A vital signs patch supports continuous, non-invasive monitoring of EKG, Heart Rate, respiration rate, surface temperature, and arterial blood oxygen saturation. The device is an easy-to-use sensor worn on a patient’s upper chest. It is intended to be used on adult patients in a clinical environment.
The intended use group is adults 21 and above. Units are prescribed by a physician or other qualified healthcare professional. Upon activation and connectivity to the supporting system, the VSP provides automation and alerts of key vital signs via continuous wireless monitoring.
Considerable interest and effort has been put into patch-based devices aimed at improving convenience for the patient and achieving better compliance. MCT 1-lead patches have been developed. Medtronic’s SEEQ device is such a unit.
BioTelemetry’s CardioNet MCOT and Preventice BodyGuardian Heart have devices. The newer patch based devices rely on MCT technology, iRhythm, a US-based AECG specialist, is selling a somewhat differentiated patch, Zio XT. Similar to Holter monitoring, the device can record arrhythmias.
It can record 10 days of continuous data, which is retrieved after completion of the monitoring, ie not live transmission like in MCT. Cardiologists would hardly be able to handle such large amounts of data, therefore iRhythm has developed proprietary algorithms, which provide summary reports.
Cardiac event monitor market forecasts, event recorder device, MCT device, and implantable recorders are charged for as services when the units are provided to patients in this manner. Insurance reimbursement is many times a more favorable way to collect money from a service. The implantable segment of the overall cardiac event recording market goes from 58% of the total to 80% of the total. It implantable devices are far more reliable and accurate than the electronic external devices.
Companies Profiled
Market Leaders
Biotelemetry / Cardionet / Mednet
Preventice Solutions / eCardio
Applied Cardiac Systems
Market Participants
AliveCor
Applied Cardiac Systems
AT&T
Biomedical Systems
Biotronik
BioTelemetry
Biomedical Systems
CardGuard
Lifewatch / CardGuard
General Electric (GE)
iRhythm / Zio
LifeLine Medical
Medicomp
Medtronic
Nuvasive
OSI Systems
Philips
Preventice Solutions
QRS Diagnostic
Reka
Samsung
Scott Fetzer
VivaLnk
VRI
Windstream


News/Press Release

Table of Content

Table of Contents
Cardiac Event Monitors Executive Summary 23
Cardiac Event Recording Market Driving Forces 23
Cardiac MCT Recorder, Event Recorder, and Implantable Recorder Market Shares 26
Cardiac Event Monitor, MCT Monitor, and Implantable Event Monitor Market Forecasts, Patients and Dollars, Worldwide 28
1. Cardiac Event Monitors Market Description and Market Dynamics 30
1.1 Cardiac Event Monitoring 30
1.1.1 Cardiac Arrhythmia Definitions 31
1.1.2 Atrial Fibrillation 31
1.1.3 Ventricular Tachycardia. 32
1.1.4 Syncope 32
1.1.5 Traditional Arrhythmia Monitoring Technologies 32
1.2 Cardiac Event Monitors 33
1.2.1 Manual-Trigger Loop Event Monitors 34
1.2.2 Cardiac Event Recorders 35
1.2.1 Event Monitoring 36
1.2.2 Event Recorder 37
1.2.3 Implantable Loop Recorders 38
1.2.4 Selection of the Most Appropriate Cardiac Event Recorder Method 39
1.3 Remote Monitoring as Standard of Care 40
1.3.1 Telemonitoring Systems Premise 41
1.3.2 Sedentary Get Exercise And Heart Failure Patients Pay Attention To Swelling In Their Feet, Ankles Or Legs 42
1.3.3 Telemonitoring Systems Improve Home Health Care 43
1.3.4 Vital Signs And Health Status Are Measured Daily 44
1.3.5 Telemonitoring at Home 44
1.4 Telemedicine 45
1.4.1 Nursing Stations 45
1.4.2 Telemedicine Services 47
1.4.3 Service Provider Adoption of Tele-Monitoring 48
1.4.4 Telemedicine Delivery Mechanisms 50
1.4.5 Telemedicine Point-To-Point Connections 51
1.4.6 High Definition Video Communication 52
1.4.7 Federal Funding for Telemedicine 56
1.4.8 US Telemedicine Medicare – 56
1.4.9 US Veterans Health Administration (VA) Use of Telemonitoring 57
1.4.10 Telemonitoring Demonstrates Positive Results In Improving Health Care And Reducing Costs Of Veterans 58
1.4.11 US VA Tele-monitoring Targeted Innovation: 60
1.5 Government Regulation of Medical Devices 62
1.5.1 Ongoing Responsibilities Under FDA Regulations 64
1.5.2 Tele-Monitoring Third-Party Reimbursement 65
1.6 Health Information Privacy HIPAA Requirements 66
1.6.1 HIPAA Enforcement 73
1.6.2 OCR Responsible For Enforcing HIPAA Privacy and Security Rules 75
1.7 Partners Mass General Cardiologist Program for High Risk Heart Failure Patients 76
2. Cardiac Event Monitors Market Shares and Forecasts 78
2.1 Cardiac Event Recording Market Driving Forces 78
2.2 Cardiac MCT Recorder, Event Recorder, and Implantable Recorder Market Shares 81
2.2.1 Cardiac Event Monitor Equipment and Implantable Recorder Market Shares, Dollars, Worldwide, 2016 84
2.2.2 BioTelemetry 89
2.2.3 Preventice / eCardio Partners with Physicians 89
2.2.4 LifeWatch Cardiac Event Monitors 89
2.2.5 LifeWatch V, an Android-Based Smartphone Written Off 89
2.2.6 Biotelnet / CardioNet 90
2.2.7 CardioNet Monitoring 94
2.2.8 CardioNet Central Monitoring Station/Data Transmission Network 95
2.2.9 CardioNet Monitoring Physician Notification 95
2.2.10 CardioNet Monitoring Other Arrhythmia Monitoring Services 96
2.2.11 CardioNet Uses for MCOT™ Monitoring Platform 97
2.2.12 CardioNet Monitoring Advanced Technology 97
2.2.13 CardioNet Monitoring Wireless Data Transmission Network 98
2.2.14 Philips 99
2.2.15 iRhythm / Zio® Event Card 100
2.2.16 VRI 100
2.2.17 Reka 100
2.2.18 REKA E100 Received FDA Clearance 101
2.3 Cardiac Event Monitor, MCT Monitor, and Implantable Event Monitor Market Forecasts, Patients and Dollars, Worldwide 103
2.3.1 Cardiac Event Monitor Market Forecasts, Event Recorder Device, MCT Device, and Implantable Recorders Services Patients and Dollars, Worldwide, 2017-2023 108
2.4 Vital Signs Patch Monitoring Service 115
2.5 Holter Monitoring 117
2.6 US Veterans Administration (VA) Tele-Monitoring of Congestive Heart Failure (CHF)117
2.6.1 Congestive Heart Failure 118
2.6.2 Diabetes Chronic Illness Numbers 121
2.6.3 Incidence of Chronic Disease 122
2.6.4 Chronic Diseases Account For Two-Thirds Of Worldwide Healthcare Spending 125
2.6.5 Surgical Procedures::US and Worldwide 125
2.7 Total Number Of Surgical Procedures And Market Penetration of Surgical Robots 126
2.7.1 Clinical Staff / Patient Ratios: Physician Shortages 129
2.7.2 Telemonitoring Market Driving Forces 131
2.7.3 Measures of Tele Monitoring Effectiveness 132
2.7.4 Home Patient Monitoring Supports Patient Education 133
2.7.5 Wireless Telemonitoring Devices 133
2.7.6 Implantation of Patient-Activated Cardiac Event Recorder 135
2.7.7 Medical Conditions Treated by Cardiac Event Recorders 136
2.8 Telemedicine Market Driving Forces 137
2.9 Cardiac Event Recording Pricing 140
2.10 Cardiac Event Recorder Regional Market Segments 141
3. Cardiac Event Monitors Product Description 143
3.1 BioTelemetry 143
3.1.1 BioTelemetry wEvent 148
3.1.2 BioTelemetry ER 920W 149
3.1.3 BioTelemetry CardioNet Event 150
3.1.4 BioTelemetry ER900-RT 151
3.1.5 BioTelemetry 152
3.1.6 BioTelemetry Braemar PER900 154
3.1.7 BioTelemetry HeartTrak Smart AF 155
3.1.8 BioTelemetry HeartTrak Smart 156
3.1.9 BioTelemetry HeartTrak 157
3.1.10 BioTelemetry Cardiac Monitoring Indications for Use 158
3.1.11 CardioNet 161
3.2 SpaceLabs 161
3.3 LifeWatch / Card Guard / Instromedix Cardiac Event Monitoring 167
3.3.1 LifeWatch Ambulatory ECG Methods 169
3.3.2 LifeWatch MCT Offering 170
3.3.3 LifeWatch MCT Work Flow 171
3.3.4 LifeWatch Core Services Offering 171
3.3.5 Lifewatch Product Portfolio Development 174
3.3.6 LifeWatch Expansion to Turkey 175
3.3.7 LifeWatch Pure-Play Service Provider 176
3.3.8 Card Guard Instromedix King of Hearts Express 176
3.3.9 Instromedix King of Hearts Express AF 180
3.3.10 Instromedix SE – 1200 Express 181
3.3.11 Instromedix SE – 1201 182
3.3.12 Instromedix SE – 1201 Features 183
3.3.13 Instromedix Holter, Cardiac Event, Pacemaker, Blood Pressure 183
3.3.14 Instromedix Heartrak Smart 186
3.3.15 Lifewatch Services 188
3.3.16 LifeWatch V, an Android-Based Smartphone 189
3.3.17 LifeWatch MCT 3 Lead (MCT 3L) 190
3.3.18 LifeWatch MCT 1 Lead Patch (MCT 1LP) 191
3.4 Preventice Solutions 194
3.4.1 Preventice Solutions BodyGuardian Heart 194
3.4.2 Preventice Solutions BodyGuardian Verite 196
3.4.3 Preventice Solutions / eCardio 198
3.4.4 eCardio Partners with Physicians 200
3.4.5 eCardio Billing 204
3.5 iRhythm / Zio® Event Card 205
3.5.1 iRhythm ZioXT 205
3.6 Reka e100 L 208
3.6.1 Reka e100 209
3.7 Philips CardioCare Cellular Event Monitoring Service 212
3.7.1 Philips Event Recorder Monitors 214
3.7.2 Philips CardioCare Cellular Event Monitor 217
3.7.3 Philips RT20 Event Monitor – 219
3.7.4 Philips ER910 Event Monitor 220
3.7.5 Philips HeartStart MRx Monitor/Defibrillator for EMS 222
3.8 Biomedical Systems / Card Guard / King of Hearts Express 228
3.9 Medtronic 229
3.9.1 Medtronic 230
3.10 Biotronik 230
3.10.1 Biotronik Monitoring for Atrial or Ventricular Arrhythmia with Implantable Pacemakers And Defibrillators 231
3.11 Medibio 231
3.12 Medicomp TelePatch 232
3.12.1 Medicomp Duet 2-in-1 Monitor 233
3.13 Applied Cardiac Sciences Performer Plus 235
3.13.1 Applied Cardiac Sciences (ACS) Event Monitoring 235
3.13.2 ACS Cardiac Event Monitor 237
3.13.3 Applied Cardiac Sciences CORE (Cardiac Outpatient Real-Time ECG) Monitor 239
3.13.4 Applied Cardiac Sciences ACS CORE Components Miniaturized To Wireless Patch 241
3.14 QRS Diagnostic 241
3.14.1 QRS Q200/HE 242
3.14.2 QRS Holter LX Analysis Software 245
3.15 SpaceLabs 246
3.16 ScottCare Ambucor 247
3.16.1 ScottCare CardioView DX 248
3.16.2 ScottCare OneView CRM 249
3.16.3 ScottCare Chroma Holter 251
3.16.4 ScottCare HolterCare Software 252
3.16.5 ScottCare Telesense 3-in-1 Remote Cardiac Monitoring 253
3.16.6 ScottCare Arrhythmia/Event Monitoring 255
3.16.7 ScottCare Ambulatory Blood Pressure Monitoring 258
3.17 AliveCor 260
4. Cardiac Event Monitor Research and Technology 262
4.1 Cardiac Event Monitor Lead Placement 262
4.2 Reimbursement and Code Chart 263
4.2.1 Codes For Billing And Reimbursement For Holter Monitoring, Cardiac Event Monitoring, and Pacemaker Monitoring in the United States 264
4.2.2 US CMS Medicare Health Net, Inc. Considers The Use Of Implantable Loop Recorder Cardiac Event Monitors 265
4.2.3 Implantation of Cardiac Event Recorder 267
4.2.4 Patient-Activated Cardiac Event Recorder Primary Diagnosis Allowed 267
4.2.5 Cardiac Event Monitors That Are Deemed Not Medically Necessary 268
4.3 Cardiac Event Recorder Validation and Use Cases 269
4.3.1 Event Monitor Indications For Use 271
4.4 Event Monitoring Studies 271
4.4.1 Kaiser Telemonitoring Study Shows Improvement in Patients 271
4.5 Government Regulation 274
4.5.1 U.S. Food and Drug Administration. 274
4.5.2 Health Care Fraud and Abuse 275
4.5.3 The Patient Protection and Affordable Care Act. 276
4.5.4 Medicare 276
4.5.5 Event Monitor Vendor Environmental Regulation 277
4.5.6 US Reimbursement—Healthcare 278
5. Cardiac Event Monitors Company Profiles 280
5.1 AliveCor 280
5.2 Applied Cardiac Systems 283
5.2.1 ACS CORE: Cardiac Outpatient Real Time Electro-cardiogram 284
5.2.2 ACS Counterpulsation Therapy 284
5.3 AT&T 286
5.3.1 AT&T Revenue 287
5.3.2 AT&T Services and Products 288
5.3.3 AT&T Voice Service – 288
5.3.4 AT&T Innovative Data Services 289
5.3.5 AT&T Business Customers 290
5.3.6 AT&T Data/Broadband 290
5.3.7 AT&T Business Secure Mobile Threats 291
5.3.8 AT&T Mobile Security 291
5.3.9 AT&T and VRI To Offer Managed Remote Telemonitoring Service 293
5.4 Biomedical Systems 294
5.5 Biotronik 294
5.5.1 Biotronik Electrotherapy Implantable Pacemakers And Defibrillators 295
5.5.2 Biotronik Vascular Intervention 295
5.5.3 Biotronik CHF Study 296
5.5.4 Biotronik Monitoring for Atrial or Ventricular Arrhythmia with Implantable Pacemakers And Defibrillators 296
5.5.5 Biotronik Coronary Stent 297
5.6 BioTelemetry 298
5.6.1 BioTelemetry Business Segment Revenue 298
5.6.2 BioTelemetry Revenue 299
5.6.3 BioTelemetry Organization 301
5.6.4 BioTelemetry Competition 303
5.6.5 BioTelemetry Principal Competitive Market Factors 303
5.6.6 Braemar Cardiac Event Monitoring Company 305
5.7 Biomedical Systems 305
5.7.1 Biomedical Systems Regional Presence 306
5.7.2 Biomedical Systems Supports Regulatory Approvals 306
5.8 CardGuard 309
5.8.1 Lifewatch / CardGuard 309
5.8.2 Lifewatch / Card Guard / Instromedix 314
5.8.3 LifeWatch / Lifestar ACT Products 316
5.8.4 LifeStar ACT Ex Functions 317
5.8.5 LifeWatch Services 319
5.8.6 Lifewatch Revenue 320
5.8.7 Lifewatch Group Strategy 321
5.9 General Electric (GE) 323
5.9.1 GE Revenues 326
5.9.2 GE Wireless Sensor Networks 327
5.9.3 GE's XMTC Thermal Conductivity Transmitter 331
5.9.4 GE's 300 Pressure Series Sensors 332
5.9.5 GE Applications for Wireless Sensor Networks 332
5.10 iRhythm / Zio 336
5.11 LifeLine Medical 336
5.12 Medicomp 337
5.12.1 Medicomp Holter Monitor Diogenes™ Algorithm Customer Use Case: Kaiser 337
5.13 Medtronic 339
5.13.1 Medtronic Aetna Cardiac Event Reimbursement 343
5.14 Nuvasive 347
5.15 OSI Systems 347
5.15.1 OSI / SpaceLabs 348
5.16 Philips 349
5,14,1 Philips Enables Consumer Lifestyle 352
5.16.2 Philips Addresses Healthcare Landscape 353
5.16.3 Philips Healthcare Modernization 356
5.16.4 Philips Patient Care & Monitoring Solutions: 357
5.16.5 Philips Healthcare Revenue 359
5.16.6 Philips Positions with Meaningful Solutions Based on Understanding Needs 364
5.16.7 Philips Strategy 367
5.17 Preventice Solutions 372
5.17.1 Preventice Solutions / eCardio 374
5.17.2 Preventice Solutions Revenue 375
5.18 QRS Diagnostic 376
5.19 Reka 377
5.19.1 Reka E100 Received FDA Clearance 378
5.20 Samsung 378
5.20.1 Samsung Diverse Businesses 380
5.20.2 Samsung Group Moves Toward QLED Displays 382
5.20.3 The Samsung Philosophy 382
5.20.4 Samsung Values 383
5.20.5 Samsung Vision 2020 384
5.20.6 Samsung Electronics 385
5.20.7 Samsung Finds Talent And Adapts Technology To Create Products 387
5.20.8 Samsung Adapts to Change, Samsung Embraces Integrity 388
5.20.9 Samsung Telecom Equipment Group 389
5.20.10 Samsung Memory Over Logic 390
5.21 Scott Fetzer 391
5.21.1 Scott Fetzer / ScottCare Cardiovascular Solutions 393
5.22 VivaLnk 394
5.23 VRI 396
5.23.1 VRI Digi Pal 397
5.23.2 VRI Partnership with Robert Bosch Healthcare 398
5.23.3 VRI Digi Pal 399
5.23.4 VRI 401
5.24 Windstream 402
5.25 Selected Cardiac Event Monitors 402
5.25.1 Applied Cardiac Systems (ACS) – Performer Plus 403
5.25.2 Biomedical Systems – King of Hearts Monitor 403
5.25.3 BioTelemetry Braemar Cardiac Event Monitors 403
5.25.4 CardioNet Cardiac Event Monitors 403
5.25.5 eCardio Cardiac Event Monitors 404
5.25.6 LifeWatch Cardiac Event Monitors 404
5.25.7 Medicomp CardioPAL SAVI Cardiac Event Monitor 404
5.25.8 Mednet Cardiac Event Monitors 404
5.25.9 QRS Diagnostic Q200 HE Cardiac Event Monitor 405
5.25.10 Scottcare 271i Cardiac Event Monitor 405
5.25.11 Spacelabs CardioCall VS20 Cardiac Event Monitor 405
5.26 Cardiac Event Monitoring Companies 405
5.26.1 Applied Cardiac Systems (ACS) Event Monitoring Company 406
5.26.2 Biomedical Systems Cardiac Event Monitoring Company 406
5.26.3 Biotelemetry (CardioNet) Braemar Cardiac Event Monitoring Company 407
5.26.4 CardioNet Cardiac Event Monitoring Company 407
5.26.5 LifeWatch Cardiac Event Monitoring Company 407
5.26.6 Medicomp Cardiac Event Monitoring Company 407
5.26.7 Mednet Cardiac Event Monitoring Company 408
5.26.8 NorthEast Monitoring Cardiac Event Monitoring Company 408
5.26.9 Preventice Cardiac Event Monitoring Company 408
5.26.10 QRS Diagnostic Cardiac Event Monitoring Company 408
5.26.11 Scottcare Cardiac Event Monitoring Company 409
5.26.12 Spacelabs Cardiac Event Monitoring Company 409
5.4 Biomedical Systems 294
5.4.1 Biomedical Systems Premier Global Provider Of Centralized Diagnostic Services 294
5.4.2 Biomedical Systems Regional Presence 295
5.4.3 Biomedical Systems Supports Regulatory Approvals 295
5.5 Biotronik 298
5.5.1 Biotronik Electrotherapy Implantable Pacemakers And Defibrillators 298
5.5.2 Biotronik Vascular Intervention 299
5.5.3 Biotronik CHF Study 300
5.5.4 Biotronik Monitoring for Atrial or Ventricular Arrhythmia with Implantable Pacemakers And Defibrillators 300
5.5.5 Biotronik Coronary Stent 301
5.6 BioTelemetry 301
5.6.1 BioTelemetry Business Segment Revenue 302
5.6.2 BioTelemetry Revenue 303
5.6.3 BioTelemetry Organization 304
5.6.4 BioTelemetry Competition 307
5.6.5 BioTelemetry Principal Competitive Market Factors 307
5.6.6 Braemar Cardiac Event Monitoring Company 309
5.7 CardGuard 309
5.7.1 Lifewatch / CardGuard 309
5.7.2 Lifewatch / Card Guard / Instromedix 315
5.7.3 LifeWatch / Lifestar ACT Products 317
5.7.4 LifeStar ACT Ex Functions 318
5.7.5 LifeWatch Services 320
5.7.6 Lifewatch Revenue 321
5.7.7 Lifewatch Group Strategy 322
5.8 General Electric (GE) 324
5.8.1 GE Revenues 327
5.8.2 GE Wireless Sensor Networks 328
5.8.3 GE's XMTC Thermal Conductivity Transmitter 332
5.8.4 GE's 300 Pressure Series Sensors 333
5.8.5 GE Applications for Wireless Sensor Networks 333
5.9 iRhythm / Zio 337
5.10 LifeLine Medical 337
5.11 Medicomp 338
5.11.1 Medicomp Holter Monitor Diogenes™ Algorithm Customer Use Case: Kaiser 338
5.12 Medtronic 340
5.12.1 Medtronic Aetna Cardiac Event Reimbursement 344
5.13 Nuvasive 348
5.14 OSI Systems 348
5.14.1 OSI / SpaceLabs 349
5.15 Philips 350
5,14,1 Philips Enables Consumer Lifestyle 353
5.15.2 Philips Addresses Healthcare Landscape 354
5.15.3 Philips Healthcare Modernization 357
5.15.4 Philips Patient Care & Monitoring Solutions: 358
5.15.5 Philips Healthcare Revenue 360
5.15.6 Philips Positions with Meaningful Solutions Based on Understanding Needs 365
5.15.7 Philips Strategy 368
5.16 Preventice Solutions 373
5.16.1 Preventice Solutions / eCardio 375
5.16.2 Preventice Solutions Revenue 376
5.17 QRS Diagnostic 377
5.18 Reka 378
5.18.1 Reka E100 Received FDA Clearance 379
5.19 Samsung 379
5.19.1 Samsung Diverse Businesses 381
5.19.2 Samsung Group Moves Toward QLED Displays 383
5.19.3 The Samsung Philosophy 383
5.19.4 Samsung Values 384
5.19.5 Samsung Vision 2020 385
5.19.6 Samsung Electronics 386
5.19.7 Samsung Finds Talent And Adapts Technology To Create Products 388
5.19.8 Samsung Adapts to Change, Samsung Embraces Integrity 389
5.19.9 Samsung Telecom Equipment Group 390
5.19.10 Samsung Memory Over Logic 391
5.20 Scott Fetzer 392
5.20.1 Scott Fetzer / ScottCare Cardiovascular Solutions 394
5.21 VivaLnk 395
5.22 VRI 397
5.22.1 VRI Digi Pal 398
5.22.2 VRI Partnership with Robert Bosch Healthcare 399
5.22.3 VRI Digi Pal 400
5.22.4 VRI 402
5.23 Windstream 403
5.24 Selected Cardiac Event Monitors 403
5.24.1 Applied Cardiac Systems (ACS) – Performer Plus 404
5.24.2 Biomedical Systems – King of Hearts Monitor 404
5.24.3 BioTelemetry Braemar Cardiac Event Monitors 404
5.24.4 CardioNet Cardiac Event Monitors 404
5.24.5 eCardio Cardiac Event Monitors 405
5.24.6 LifeWatch Cardiac Event Monitors 405
5.24.7 Medicomp CardioPAL SAVI Cardiac Event Monitor 405
5.24.8 Mednet Cardiac Event Monitors 405
5.24.9 QRS Diagnostic Q200 HE Cardiac Event Monitor 406
5.24.10 Scottcare 271i Cardiac Event Monitor 406
5.24.11 Spacelabs CardioCall VS20 Cardiac Event Monitor 406
5.25 Cardiac Event Monitoring Companies 406
5.25.1 Applied Cardiac Systems (ACS) Event Monitoring Company 407
5.25.2 Biomedical Systems Cardiac Event Monitoring Company 407
5.25.3 Biotelemetry (CardioNet) Braemar Cardiac Event Monitoring Company 408
5.25.4 CardioNet Cardiac Event Monitoring Company 408
5.25.5 LifeWatch Cardiac Event Monitoring Company 408
5.25.6 Medicomp Cardiac Event Monitoring Company 408
5.25.7 Mednet Cardiac Event Monitoring Company 409
5.25.8 NorthEast Monitoring Cardiac Event Monitoring Company 409
5.25.9 Preventice Cardiac Event Monitoring Company 409
5.25.10 QRS Diagnostic Cardiac Event Monitoring Company 409
5.25.11 Scottcare Cardiac Event Monitoring Company 410
5.25.12 Spacelabs Cardiac Event Monitoring Company 410

List of Figures

List of Tables and Figures
Figure 1. Cardiac Event Recording Market Driving Forces 24
Figure 2. Cardiac MCT Monitor Equipment Market Shares, Dollars, Worldwide, 2016 26
Figure 3. Cardiac Event Recorder, MCT, and Implantable Market Forecasts Dollars, Worldwide, 2017-2023 29
Figure 4. Event Recorder Uses: 36
Figure 5. Remote Monitoring as Standard of Care 40
Figure 6. Telemedicine Nursing Stations Typical Telemonitoring Questions 46
Figure 7. Remote Patient Monitoring Device Uses 48
Figure 8. Clinical Assessment and Response to Alert Provided by Telemonitor 49
Figure 9. Clinical Assessment And Actions Taken To Alert Provided By Telemonitor 50
Figure 10. Telehealth Solutions Benefits 52
Figure 11. Monitoring Used To Take Measurements In Homecare Settings 53
Figure 12. Monitoring Measurement Functions In Homecare Settings 54
Figure 13. Recommendations for Innovation Funded By The VA 61
Figure 14. FDA Enforcement Actions And Remedies 65
Figure 15. HIPAA Information Covered entities 68
Figure 16. HIPAA Information That Needs to Be Private 69
Figure 17. HIPAA Information Sharing by Health Care Providers 70
Figure 18. HIPAA Information Sharing Prohibitions 71
Figure 19. HIPAA Information Managed via Court Order 72
Figure 20. HIPAA Privacy and Security Rule and Compliant Process 74
Figure 21. Cardiac Event Recording Market Driving Forces 79
Figure 22. Cardiac MCT Monitor Equipment Market Shares, Dollars, Worldwide, 2016 81
Figure 23. Cardiac MCT Monitor Equipment Market Shares, Dollars, Worldwide, 2016 82
Figure 24. Cardiac Event Monitor Equipment and Implantable Recorder Market Shares, Dollars, Worldwide, 2016 84
Figure 25. Cardiac Event Monitor Equipment and Implantable Recorder Market Shares, Dollars, Worldwide, 2016 85
Figure 26. Cardiac Event Recording and Vendor Services Market Shares, Dollars, Worldwide, 2016 86
Figure 27. Cardiac Event Monitor Equipment and Services Market Shares, Dollars, Worldwide, 2016 87
Figure 28. LifeWatch V, an Android-Based Smartphone 90
Figure 29. CardioNet Monitoring Device Product Enhancements 92
Figure 30. Cardiac Event Recorder, MCT, and Implantable Market Forecasts Dollars, Worldwide, 2017-2023 104
Figure 31. Cardiac MCT, Event Recorder, and Implantable Recorder Market Segments, Dollars, Worldwide, 2023 105
Figure 32. Cardiac Event, MCT, and Implantable Monitor Market Forecasts, Dollars, Worldwide, 2017-2023 106
Figure 33. Cardiac Event Recorder Market Morph to App / MCT / Implant Cardiac Monitor Market, Forecasts Patients, Worldwide, 2017-2023 107
Figure 34. Cardiac Event Recorder Market Forecasts Patients, Worldwide, 2017-2023 108
Figure 35. Cardiac MCT, Event Recorder, and Implantable Recorder Market Segments, Dollars, Worldwide, 2016 109
Figure 36. Cardiac MCT, Event Recorder, and Implantable Recorder Market Segments, Dollars, Worldwide, 2023 110
Figure 37. Cardiac Event Monitor Market Forecasts, Event Recorder Device, MCT Device, and Implantable Recorders Services Patients and Dollars,
Worldwide, 2017-2023 111
Figure 38. Card Guard Instromedix King of Hearths Event Monitor 112
Figure 39. Cardiac Event, MCT, and Implantable Monitor Market Forecasts, Patients and Dollars, Worldwide, 2017-2023 113
Figure 40. Cardiac Event App / Implant Market Forecasts, Smart Phone / Sensor App Disruptive Technology Patients and Dollars, Worldwide, 2017-2023 115
Figure 41.Congestive Heart Failure (CHF) Patients Worldwide, Forecasts, Number, 2013-2018 120
Figure 42. Diabetes Patients Worldwide, Forecasts, Number, 2013-2018 122
Figure 43. Number of Patients with Disease Conditions Requiring Wheelchairs, By Diagnosis, Number, Worldwide, 2013-2018 124
Figure 44. Total Number Of Surgical Procedures Performed In US: 2017 127
Figure 45. Total Number Of Surgical Procedures Performed Worldwide: 2017 128
Figure 46. US and Worldwide Robotic Surgery Target Procedures: 2017 129
Figure 47. Tele-Monitoring Critical Issues Addressed 134
Figure 48. Medical Conditions Treated by Cardiac Event Recorders 136
Figure 49. Factors Likely To Create Shift To Event Monitoring 138
Figure 50. Telemedicine Adoption Rate Issues And Concerns 139
Figure 51. Telemedicine Market Factors 139
Figure 52. Cardiac Event Monitor Regional Market Segments, Dollars, 2016 141
Figure 53. Cardiac Event Recorder Regional Market Segments, 2016 142
Figure 54. BioTelemetry Product Types 144
Figure 55. BioTelemetry Mobile Cardiac Telemetry 145
Figure 56. BioTelemetry Mobile Cardiac Telemetry 145
Figure 57. BioTelemetry MCOT Cardiac Monitor 146
Figure 58. BioTelemetry wEvent 148
Figure 59. BioTelemetry ER 920W 149
Figure 60. BioTelemetry CardioNet Event 150
Figure 61. BioTelemetry ER900-RT 151
Figure 62.BioTelemetry Braemar ER920/ER920AF 153
Figure 63. BioTelemetry Braemar PER900 154
Figure 64. BioTelemetry HeartTrak Smart AF 155
Figure 65. BioTelemetry HeartTrak Smart 156
Figure 66. BioTelemetry HeartTrak 157
Figure 67. CardioNet Monitoring Indications for Use 158
Figure 68. CardioNet Monitoring Indications 159
Figure 69. CardioNet Contraindicatios For Use In The Following Patients: 160
Figure 70. CardioNet Cardiac Event Recorder Services 160
Figure 71. SpaceLabs CardioCall VS20/ST80 162
Figure 72. SpaceLabs Lifecard CF 163
Figure 73. LifeWatch Cardiac Event Monitoring Devices 167
Figure 74. LifeWatch Cardiac Event Monitoring MicroER Non-Looping Monitor 169
Figure 75. LifeWatch Core Offerings Leverage the MCT Devices 171
Figure 76. LifeWatch’s Product Portfolio Of Cardiac Monitoring Devices 172
Figure 77. LifeWatch’s R&D Portfolio Developments 174
Figure 78. Card Guard Instromedix King of Hearts Event Recorder image 176
Figure 79. Card Guard Instromedix King of Hearts Event Record Button 177
Figure 80. Card Guard Instromedix King of Hearts Event Recorder Specifications 178
Figure 81. Insromedix King of Hearts Express Features 179
Figure 82. Instromedix SE – 1200 Express 181
Figure 83. Instromedix SE – 1201 Image 182
Figure 84. Instromedix Cardiac Event Recorders 184
Figure 85. LifeWatch V, an Android-Based Smartphone 189
Figure 86. LifeWatch MCT 1 Lead Patch 191
Figure 87. LifeWatch Kyocera MCT 1 Lead Patch Smart Phone Device 193
Figure 88. Preventice Solutions BodyGuardian Heart 194
Figure 89. Preventice Solutions BodyGuardian® Remote Monitoring System Clinical Applications 195
Figure 90. Preventice Solutions BodyGuardian Verite 196
Figure 91. eCardion Event Monitors 198
Figure 92. eCardio Device 202
Figure 93. iRhythm Zio Functions 206
Figure 94. Reka e100 L 208
Figure 95. Reka e100 Symptom Based, Manual Trigger Event Recorder Features: 209
Figure 96. REKA E100: Cardia Event Recorder Benefits 210
Figure 97. Philips Services Implementation 213
Figure 98. Philips Remote Cardiac Services’ 30-Day Arrhythmia Service Functions 214
Figure 99. Philips Remote Cardiac Services’ 30-Day Arrhythmia Report Functions 215
Figure 100. Philips Remote Cardiac Arrhythmia Service Activation 216
Figure 101. Philips Event Recording Service Ease of Use 217
Figure 102. Philips Services That Support Event Monitoring 218
Figure 103. Philips CardioCare Cellular Event Monitor 218
Figure 104. Philips RT20 Event Monitor - 219
Figure 105. Philips ER910 Event Monitor 220
Figure 106. Philips ER910 Event Monitor - 221
Figure 107.Philips ER910 Event Monitor Features 222
Figure 108. Philips HeartStart MRx Monitor/Defibrillator Intuitive And Ease Of-Use Features 226
Figure 109. Philips HeartStart MRx Monitor/Defibrillator 227
Figure 110. Medicomp TelePatch 232
Figure 111. Medicomp Duet 2-in-1 Monitor 233
Figure 112. Medicomp Duet 2-in-1 Event and Telemetry Monitor Features 234
Figure 113. Applied Cardiac Sciences Performer Plus 235
Figure 114. Applied Cardiac Sciences (ACS) Event Monitor Functions 236
Figure 115. Applied Cardiac Sciences ACS Performer Plus Image 237
Figure 116. Applied Cardiac Sciences CORE Integrated Device ECG Applications: 240
Figure 117. QRS Q200/HE Combination 14-day Holter plus 30-day Event Monitor 242
Figure 118. QRS Diagnostic Device Functions 243
Figure 119. QRS Diagnostic LX Analysis Software Functions 243
Figure 120. QRS Holter Monitor Functions 244
Figure 121. QRS Holter and Event Recorder LX Analysis 245
Figure 122. SpaceLabs CardioCall ST80 246
Figure 123. ScottCare Ambucor 247
Figure 124. ScottCare Ambucor CardioView DX 248
Figure 125. CardioView Dx Suite Testing Modalities 249
Figure 126. ScottCare Implantable Device OneView CRM Features: 250
Figure 127. ScottCare Chroma Holter 251
Figure 128. ScottCare Chroma Software Holter Functions 252
Figure 129. ScottCare HolterCare Software Functions 252
Figure 130. ScottCare Telesense 253
Figure 131. ScottCare TeleSense Wi-Fi Based Remote Cardiac Rhythm Monitor: 254
Figure 132. ScottCare Arrhythmia/Event Monitoring Image 255
Figure 133. ScottCare Arrhythmia/Event Monitoring Functions 256
Figure 134. ScottCare Arrhythmia/Event Monitoring Features 257
Figure 135.ScottCare Ambulatory Blood Pressure Monitoring 258
Figure 136.ScottCare Ambulatory Blood Pressure Monitoring 259
Figure 137. AliveCor Consumer Finger EKG 260
Figure 138. AliveCor Fitness Track App EKG analysis to Detect Atrial Fibrillation Heart Rhythms 261
Figure 139. Cardiac Event Monitor Lead Placement 262
Figure 140.CMS Medicare program Cardiac Event Monitor Requirements 263
Figure 141.Codes For Billing And Reimbursement for Holter Monitoring, Cardiac Event Monitoring, and Pacemaker Monitoring in the United States 264
Figure 142. Cardiac Event Recorder Use Cases 270
Figure 143. AliveCor Arrythmia Detection App Device 281
Figure 144. AliveCor Competitors 282
Figure 145. AT&T Mobile Security Benefits 292
Figure 146. Biotronik Electrotherapy Devices 295
Figure 147. Biotronik Vascular Intervention Devices 296
Figure 148. BioTelemetry Principal Competitive Market Factors 304
Figure 149. Biomedical Systems Metrics 306
Figure 150. Biomedical Systems Distribution of Modalities 307
Figure 151. Biomedical Systems Distribution Across Phases 308
Figure 152. LifeWatch V, an Android-Based Smartphone 312
Figure 153. LifeWatch LifeStar ACT III Platinum Functions 316
Figure 154. LifeStar ACT Ex Functions 317
Figure 155. LifeStar ACT Ex Standard Features 318
Figure 156. LifeStar ACT Enhanced Daily Reporting Features 319
Figure 157. GE Operating Segments 323
Figure 158. GE Wireless Sensor Networks 330
Figure 159. GE Sensor Networks 335
Figure 160. Medtronic Aetna Cardiac Event Reimbursement Indications 344
Figure 161. Philips Global Presence 351
Figure 162. Philips Global Trends And Challenges 353
Figure 163. Philips' Healthtech Positioning 355
Figure 164. Philips Target HealthTech Market 360
Figure 165. Philips HealthTech Market Trends 361
Figure 166. Philips Strong Market Leadership Positions 362
Figure 167. Philips Leading Solutions Positioning 364
Figure 168. Philips Healthcare Positioning 366
Figure 169. Philips Well Positioned To Be A Key Enabler Of More Effective, Lower-Cost Integrated Health Solutions 369
Figure 170. REKA Telehealth Solutions 377
Figure 171. Samsung Gear VR Ambient VR 381
Figure 172. Samsung Values 383
Figure 173. Samsung Vision 384
Figure 174. Scott Fetzer Brands 392
Figure 175. ScottCare Cardiovascular Solutions Types 393
Figure 176. VivaLnk Patch For Monitoring Functions 394
Figure 177. VivaLnk Patch Key Problems Solved 395
Figure 178. VivaLnk Patch Metrics 395
Figure 179. VRI Units Monitored 399
Figure 180. VRI Services to Partners 400

Companies Profiled

AliveCor
Applied Cardiac Systems
AT&T
Biomedical Systems
Biotronik
BioTelemetry
Biomedical Systems
CardGuard
Lifewatch / CardGuard
General Electric (GE)
iRhythm / Zio
LifeLine Medical
Medicomp
Medtronic
Nuvasive
OSI Systems
Philips
Preventice Solutions
QRS Diagnostic
Reka
Samsung
Scott Fetzer
VivaLnk
VRI
Windstream

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